Active NPI
Kathleen Elizabeth Miller
- Family Nurse Practitioner
- Lebanon, TN
National Provider Identifier
1023593597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2018070625
- Practice address
- 2605 Mann Rd
Lebanon, TN 37087-0933 - Phone
- (615) 598-5490
- NPI assigned
- Sep 30, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2018070625 | TN | Primary |
Addresses
Primary practice location
2605 Mann Rd
Lebanon, TN 37087-0933
Mailing address
2605 Mann Rd
Lebanon, TN 37087-0933
Phone (615) 598-5490
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018070625 | TN | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538265600000",
"number": "1023593597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2605 MANN RD",
"city": "LEBANON",
"state": "TN",
"postal_code": "370870933",
"telephone_number": "615-598-5490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2605 MANN RD",
"city": "LEBANON",
"state": "TN",
"postal_code": "370870933",
"telephone_number": "615-598-5490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "KATHLEEN",
"middle_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-30",
"last_updated": "2018-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "2018070625",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, TN
- Middle Tennessee Occupational Medicine
- Middle Tennessee Pediatric Services, PLLC
- Midtenn Primary Care, LLC
- Midtn Integrative Therapeutics, LLC
- Elizabeth Miller, RBT
- Mitchell Manor Inc
- Cameron Wayne Mitchell, PHARMD.
- Charles Austin Mitchell Jr., MD
- Elizabeth Kay Mitchell, M.D.
- Jade Tierra Mitchell, PH.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.